2 day delivery worldwide

Idiopathic Toe-Walking

by MASS4D® Prescription Orthotics January 09, 2017

Abstracts

Seeing the lack of published evidence on how or why this gait type develops in children and its long-term effects on the foot and ankle, the authors sought to summarise what is currently known about Idiopathic Toe-walking (ITW), primarily relating to the diagnosis of the gait type.

The four founding publications in paediatric gait development observed children without disabilities, and they all describe children’s ability to walk on their toes.

They indicate that although toe-walking is not a mandatory phase, it is a common component of gait development for the young child.


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


There are many medical conditions that are reported as either causing or being associated with ITW – 1) neuromuscular changes in muscle length, innervation, or strength that prohibit heel strike; 2) traumatic or biomechanical changes in the skeletal framework of the pelvis or lower limb that prohibit or inhibit heel strike; 3) neurogenic influences that result in a toe-walking gait yet heel contact is physically possible during gait; 4) ITW, or toe-walking when there is no medical condition causing or associated with the gait style.

Careful and methodical biomechanical and neurologic examinations need to be conducted to ensure there is a low likelihood of a medical condition causing or being associated with the toe-walking gait.

It is well accepted that ITW is not sex specific and is observed in both boys and girls.

Ankle equinus has long been associated with ITW, with many authors reporting a restriction in the ankle joint range of motion seen in children with this gait type; knowledge of the long-term influence of equinus on foot function may be relevant to predict how the child with ITW gait may be impacted as an adult.

Often the greatest impact of treatment seems to be at the available ankle range of motion, with the toe-walking gait continuing long after treatment has been introduced.

Copyright 2017 MASS4D® All rights reserved. 


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


References:

  1. Cylie M. Williams, Paul Tinley, Barry Rawicki (2014) Idiopathic Toe-Walking. Journal of the American Podiatric Medical Association: May/June 2014, Vol. 104, No. 3, pp. 253-262

Leave a comment

Comments will be approved before showing up.


Also in Clinicians Blog

Abstracts
Prevention of Diabetic Foot Complications

by MASS4D® Prescription Orthotics November 13, 2018

This paper aimed to discuss the importance of prevention and the authors’ protocol for prevention – in the form of education and foot screening – and to review the existing evidence in the literature regarding the effectiveness of the preventive approach.

Read More

Abstracts
Foot Disorders, Foot Posture, and Foot Function: The Framingham Foot Study

by MASS4D® Prescription Orthotics November 04, 2018

The purpose of this study was to assess the relation between foot disorders, and foot posture and function in a population-based sample of adults.

Read More

Abstract
Potential for foot dysfunction and plantar fasciitis according to the shape of the foot arch in young adults

by MASS4D® Prescription Orthotics October 30, 2018

This study aimed to verify the potential for functional abnormality of the foot and plantar fasciitis among people with flat feet.

Read More

xf